86 cases of closed abdominal injury Treatment.docVIP

 PAGE \* MERGEFORMAT 6 86 cases of closed abdominal injury Treatment [Keywords:] closed abdominal injury; treatment Blunt abdominal trauma is a common surgical emergency, acute illness, heavy and complex, change rapidly, more complications to deal with difficult, higher mortality rate. In this paper, admitted to our hospital in recent years, 86 cases of diagnosis and treatment of patients with blunt abdominal trauma data Talking about their experience of treating the problem as follows. 1 Data and methods 1.1 General Information The group of 86 patients, male 69 cases, 17 females, aged 3 to 70 years, mean 32 years old. 1.2 Injury traffic accident in 45 cases, 26 cases of fall break, crush injury, 10 cases kicks hit in 5 cases. 1.3 Damage types of surgical exploration of the group of 82 patients, a total of 96 organ injury, including 26 cases of splenic rupture, hepatic rupture in 15 cases, omental and mesenteric injury in 16 cases, 32 cases of gastrointestinal rupture, bladder injury, 3 cases of renal contusion the diaphragm rupture in 2 cases, a single or multiple limb fractures in 18 cases, 6 cases of traumatic brain injury, 10 cases of chest injury, pelvic fracture in 4 cases. 2 Results Surgery in this group 82 cases, 4 cases of non-surgical treatment, 84 cases were cured, 2 died (2.38%) were severe injury and hemorrhagic shock, and the hospital late, missed the timing of surgery and death. 3 Discussion 3.1 closed abdominal injury early resuscitation leading cause of death was shock, shock 30 min is generally believed that those 90% died. Treatment of the primary measures are emergency recovery and shorten the shock time. To ensure airway patency, immediately oxygen, ECG monitoring establishment of effective intravenous infusion over two channels, to correct the low blood volume, improve microcirculation, and strive to stabilize blood pressure, pulse 90 beats / min, hemoglobin of 70 g / L or more, hematocrit of 25% to beneficia